Affiliation:
1. Sociology Department and Population Research Center, University of Texas at Austin
2. Leonard Davis School of Gerontology, University of Southern California, Los Angeles
Abstract
Abstract
Objectives
We estimate life expectancy with and without dementia for Americans 65 years and older by education and race to examine how these stratification systems combine to shape disparities in later-life cognitive health.
Method
Based on the Health and Retirement Study (2000–2014), we use a multivariate, incidence-based life table approach to estimate life expectancy by cognitive health status for race–education groups. The models also simulate group differences in the prevalence of dementia implied by these rates.
Results
The life table results document notable race–education differences in dementia and dementia-free life expectancy, as well as stark differences in implied dementia prevalence. At each education level, blacks can expect to live more years with dementia and they have significantly higher rates of dementia prevalence. This distribution of disparities in the older population is anchored by 2 groups—blacks without a high school diploma and whites with some college or more.
Discussion
Dementia experience and dementia burden differ dramatically along race–education lines. Race and education combine to exaggerate disparities and they both have enduring effects. Future research should explicitly consider how race and education combine to influence dementia in the older American population.
Funder
National Institutes of Health
Eunice Kennedy Shriver National Institute of Child Health and Human Development
National Institute on Aging
Publisher
Oxford University Press (OUP)
Subject
Geriatrics and Gerontology,Gerontology,Clinical Psychology,Social Psychology
Cited by
55 articles.
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